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NPI 1912136169

NPI 1912136169 : CHRISTOPHER KEITH WILLIAMS PHARMD : BRADENTON, FL

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General NPI Number Information
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    NPI Number           |    1912136169
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER KEITH WILLIAMS PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/09/2009
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    Last Update Date     |    07/09/2009
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Provider Practice Location Address
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    Address Line         |    600 301 BLVD W SUITE 144
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34205-7957
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    Country              |    US
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    Telephone            |    941-748-4501
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    Fax                  |    941-741-2981
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Provider Business Mailing Address
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    Address Line         |    600 301 BLVD W SUITE 144
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34205-7957
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    Country              |    US
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    Telephone            |    941-748-4501
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    Fax                  |    941-741-2981
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    PS42812
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    License Number State |    FL
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